대한예방한의학회지 (Journal of Society of Preventive Korean Medicine)

대한예방한의학회 (Society of Preventive Korean Medicine)
권호 표지

만성질환자들의 한의약의료서비스 이용과 결정요인 -제주도 보건소이용 환자를 중심으로-

The Use of Traditional Korean Medicine and its Affecting Factors among Patients with Chronic Disease in Jeju Province, Korea

  • 오종수 (한양대학교 보건의료연구소) ;
  • 한동운 (한양대학교 보건의료연구소) ;
  • 임문혁 (한양대학교 보건의료연구소) ;
  • 홍용석 (한양대학교 보건의료연구소) ;
  • 이영호 (한양대학교 보건의료연구소) ;
  • 노홍인 (한양대학교 보건의료연구소)
  • Oh, Jong-Soo (Institute of Health Services Management, Hanyang University) ;
  • Han, Dong-Woon (Institute of Health Services Management, Hanyang University) ;
  • Im, Mun-Hyuk (Institute of Health Services Management, Hanyang University) ;
  • Hong, Yong-Seok (Institute of Health Services Management, Hanyang University) ;
  • Lee, Young-Ho (Institute of Health Services Management, Hanyang University) ;
  • Noh, Hong-In (Institute of Health Services Management, Hanyang University)
  • 투고 : 2009.11.30
  • 심사 : 2009.12.19
  • 발행 : 2009.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background : Traditional Korean medicine(TKM) has gained in popularity among chronic patients in recent years. The use of TKM among patients with chronic diseases is common, with about two thirds of patients using some form of TKM in Korea. Objectives : The purpose of this study is to analyze the use of TKM and determine what factors affect to use TKM among patients with chronic diseases. The study also aims to provide information on TKM therapies and assist therapy selection among various TKM therapies for patients with chronic diseases. Methods : The design of the study was descriptive cross-sectional, and data were collected using a 21-item questionnaire. This study was conducted with subjects with confirmed diagnosis of chronic diseases, who live in Jeju Province, Korea. Results : Among the participants, past or current TKM use was 66.7%, with a statistically significant difference in gender and level of health status groups(p<0.05), but no difference in age, marital status, education, occupation, and income groups. The most common therapies of TKM used by the patients included acupuncture(51.1%), physiotherapy(16.8%), cupping(13.5%), and herbal medicine(4.8%). The main benefits from TKM perceived by the patients were chronic diseases management and health promotion. In a logistic regression analysis, significant influencing factors related to TKM use were gender, family income level, the extent of recognition of efficacy, heath status, and health security program. Conclusions : In this study the socio-demographic and health status, recognition of TKM efficacy factors associated with TKM use among patients with chronic diseases were similar to those found in the general population. The findings suggest that due to the relatively high use of TKM among patients with chronic diseases in Korea, this topic should be taken into account in the development of a holistic approach for patients with chronic diseases and an efficient chronic disease management system. Additionally proactive and consistent management of TKM is necessary in the health care system in Korea.

키워드

참고문헌

  1. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults : United States, 2002. In : CDC advance data from vital and health statistics, vol. 343. Hyattsville, Maryland : National Center for Health Statistics ; 2004. pp. 1-19.
  2. Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, Kessler RC. Trends in alternative medicine use in the United States, 1990-1997 : results of a follow up national survey. JAMA, 1998 ; 280 : 1569-75. https://doi.org/10.1001/jama.280.18.1569
  3. Druss BG, Rosenheck RA. Association between use of unconventional therapies and conventional medical services. JAMA, 1998 ; 282 : 651-6.
  4. Rhee SM, Garg VK, Hershey CO. Use of complementary and alternative medicine by ambulatory patients. Arch Internal Medicine, 2004 ; 164 : 1004-9. https://doi.org/10.1001/archinte.164.9.1004
  5. World Health Organisation(WHO). Traditional medicine [Online] [cited November 2009] Available from: URL: http://www.who.int/mediacentre/
  6. Koloski NA, Talley NJ, Huskic SS, Boyce PM. Predictors of conventional and alternative health care seeking for irritable bowel syndrome and functional dyspepsia. Alimentary pharmacology & therapeutics, 2003 ; 17 : 841-851. https://doi.org/10.1046/j.1365-2036.2003.01498.x
  7. Markell MS. Potential Benefits of Complementary Medicine Modalities in Patients With Chronic Kidney Disease. Advances in Chronic Kidney Disease, 2005 ; 12(3) : 292-299. https://doi.org/10.1016/j.ackd.2005.03.004
  8. Saydah SH, Eberhardt MS. Use of complementary and alternative medicine among adults with chronic diseases : United States 2002. The Journal of Alternative & Complementary Medicine, 2006 ; 12 : 805-12. https://doi.org/10.1089/acm.2006.12.805
  9. Ernst E & Cassileth BR. The prevalence of complementary/alternative medicine in cancer. Cancer, 1998 ; 83 : 777-782. https://doi.org/10.1002/(SICI)1097-0142(19980815)83:4<777::AID-CNCR22>3.0.CO;2-O
  10. Ramos-Remus C, Raut A. Complementary and alternative practices in rheumatology. Best Practice & Research Clinical Rheumatology, 2008 ; 22(4) : 741-757. https://doi.org/10.1016/j.berh.2008.05.001
  11. Hawley, DJ. Nontraditional Treatments of arthritis. Nursing Clinics of North America, 1984 ; 19(4) : 663-372.
  12. Wood MJ, Stewart RL, Merry H, Johnstone DE. and Cox JL. Use of complementary and alternative medical therapies in patients with cardiovascular disease. American Heart Journal, 2003 ; 145 : 806-12. https://doi.org/10.1016/S0002-8703(03)00084-X
  13. Talley NJ, Boyce P, Jones M. Dyspepsia and health care seeking in a community. How important are psychological factors? Digestive diseases and sciences, 1998 ; 43 : 1016-1022. https://doi.org/10.1023/A:1018878717715
  14. Gaburri M, Bassotti G, Bacci G, et al. Functional gut disorders and health care seeking behavior in an Italian non-patient population. Recenti Progressi Med, 1989 ; 80 : 241-244.
  15. Heaton KW, O'Donnell LJD, Braddon FEM, Mountford RA, Hughes AO, Cripps PJ. Symptoms of irritable bowel syndrome in a British urban community : consulters and non-consulters. Gastroenterology, 1992 ; 102 : 1962-1967.
  16. Geddes N. and Henry JK. Nursing and alternative medicine : legal and practice issues. Journal of Holistic Nursing, 1997 ; 15(3) : 271-281. https://doi.org/10.1177/089801019701500307
  17. Ernst E. The current position of complementary/alternative medicine in cancer European Journal of Cancer, 2003 : 39(16) : 2273-2277. https://doi.org/10.1016/S0959-8049(03)00604-X
  18. Burgmann T, Rawsthorne P, Bernstein CN. Predictors of alternative and complementary medicine use in inflammatory bowel disease : do measures of conventional health care utilization relate to use? American Journal of Gastroenterology, 2004 ; 99(5) : 889-93. https://doi.org/10.1111/j.1572-0241.2004.30033.x
  19. 김윤숙 전진호 박정현. 김창일. 당뇨병 환자들의 대체의학 경험실태와 관련요인. 대한당뇨병학회, 1981 ; 24(1) : 78-89.
  20. 이여진, 박형숙. 만성 질환자의 대체요법 이용 실태 조사연구, 1999 ; 6(1) : 95-113.
  21. 최윤정, 정해원, 최수용. 일부 병원에 내원한 암환자들의 대체의학 사용에 관한 연구. 대한보건협회학술지, 1998 ; 24(1) : 167-181.
  22. Kim SR, Lee TY, Kim MS, Lee MC, Chung SJ. Use of complementary and alternative medicine by Korean patients with Parkinson's disease. Clinical Neurology and Neurosurgery, 2009 ; 111(2) : 156-160. https://doi.org/10.1016/j.clineuro.2008.09.011
  23. Ock SM, Choi JY, Cha YS, Lee JB, Chun MS, Huh CH, Lee SY, and Lee SJ. The Use of Complementary and Alternative Medicine in a General Population in South Korea : Results from a National Survey in 2006. Korean Medical Science, 2009 ; 24(1) : 1-6. https://doi.org/10.3346/jkms.2009.24.1.1
  24. Lee SI, Khang YH, Lee MS, Koo HJ, Kang W, Hong CD. Complementary and alternative medicine in Korea : prevalence, pattern of use, and out-of-pocket expenditures. Korean Journal of Preventive Medicine, 1999 ; 32 : 546-555.
  25. Ong CK and Banks B. Complementary and Alternative Medicine : the consumer perspective, The Prince of Wales's Foundation for Integrated Health, 2003.
  26. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults : United States, 2002. Seminars in Integrative Medicine, 2004 ; 2(2) : 54-71. https://doi.org/10.1016/j.sigm.2004.07.003
  27. Hanssen B, Grimsgaard S, Launso L, Fonnebo V, Falkenberg T, Rasmussen NK. Use of complementary and alternative medicine in the Scandinavian countries. Scandinavian Journal of Primary Health Care, 2005 ; 23 : 57-62. https://doi.org/10.1080/02813430510018419
  28. Lim MK, Sadarangani P, Chan HL, Heng JY. Complementary and alternative medicine use in multiracial Singapore. Complementary Therapies in Medicine, 2005 ; 13 : 16-24. https://doi.org/10.1016/j.ctim.2004.11.002
  29. 유왕근. 한방의료 서비스 이용행태 및 이용결정요인에 관한 연구. 서울대학교 대학원 박사논문. 2003.
  30. 이한울. 계층별 한방의료 이용 실태에 관한 연구, 원광대학교 대학원 석사논문, 2007.
  31. 이수호. 일부 도시주민의 한방의료 이용실태에 관한 조사연구. 공중보건잡지, 1971 ; 8(1) : 1-13.
  32. Millar W. Use of alternative health care practitioners by Canadians. Canadian Journal of Public health, 1997 ; 88 : 154-8.
  33. Wolsko P, Ware L, Kutner J, Lin CT, Albertson G, Cyran L, Schilling L, Anderson RJ. Alternative/Complementary medicine : wider usage than generally appreciated. The Journal of Alternative & Complementary Medicine, 2000 ; 6 : 321-6. https://doi.org/10.1089/10755530050120682
  34. 박성순, 남철현. 한국인의 한방의료이용에 대한 인식과 행태 요인 분석, 대한보건협회학술지, 1999 ; 25(2) : 34-50.
  35. Fylkesnes K, Forde OH. Determinants and dimensions involved in self-evaluation of health. Social Science and Medicine, 1992 ; 35 : 271-9. https://doi.org/10.1016/0277-9536(92)90023-J
  36. Heidrich J, Liese AD, Lowel H, Keil U. Self-rated health and its relation to all cause and cardiovascular mortality in southern Germany. Results from the MONICA Augsburg cohort study. Annais of Epidemiology, 2002 ; 12 : 338-345. https://doi.org/10.1016/S1047-2797(01)00300-3
  37. 정경희, 오영희, 석재은, 도세록, 김찬우, 이윤경, 김희경. 2004년도 전국 노인생활실태 및 복지 욕구조사, 한국보건사회연구원:보건복지부, 2005.
  38. Palinkas L, Kabongo M. The use of complementary and alternative medicine by primary care patients A SURF$\ast$NET study. The Journal of Family Practice, 2000 ; 49 : 1121-30.
  39. Cauffield J. The psychosocial aspects of complementary and alternative medicine. Pharmacotherapy, 2000 ; 20 : 1289-94. https://doi.org/10.1592/phco.20.17.1289.34898
  40. Ziment I, Tashkin DP. Alternative medicine for allergy and asthma. Journal of Allergy and Clinical Immunology. 2000 ; 106 : 603-14. https://doi.org/10.1067/mai.2000.109432
  41. Blank PD, Trupin L, Earnest G, Katz PP, Yelin EH, Eisner MD.Alternative therapies among adults with a reported diagnosis of asthma or rhinosinusitis : data from a population-based survey. Chest 2001 ; 120 : 1461-7. https://doi.org/10.1378/chest.120.5.1461
  42. 한문희. 일부지역의 한방의료 이용 실태에 관한 연구, 충남대학교 보건대학원 석사학위논문, 1991
  43. Danesi MA, Adetunji JB. Use of alternative medicine by patients with epilepsy : a survey of 265 epileptic patients in a developing country. Epilepsia, 1994 ; 35 : 344-1. https://doi.org/10.1111/j.1528-1157.1994.tb02442.x
  44. DiGianni LM, Kim HT, Emmons K, Gelman R, Kalkbrenner KJ, Garber JE. Complementary medicine use among women enrolled in a genetic testing program. Cancer Epidemiol Biomarkers Prev 2003 ; 12(4) : 321-6.
  45. 최희승. 경기도 보건소 이용자의 한방의료 서비스 만족도 조사. 인제대 보건대학원 석사논문. 2003.
  46. 홍상민. 한.양방 의료서비스 이용행태 및 의료기관 선택요인에 관한 분석. 경희대학교 대학원, 2008.
  47. 조은주. 한의원과 의원을 이용하는 환자의 의료이용행태 비교분석. 고신대학교 보건대학원. 2000.
  48. 이정근. 뇌졸중환자의 양.한방진료 선호성에 관한 연구: 22개 대학병원을 중심으로, 한양대학교 행정대학원 석사논문, 1992.
  49. 제주특별자치도. 2008년 제주시 지역보건 의료계획, 제주특별자치도, 2008.
  50. Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL. Unconventional medicine in the United States : prevalence, costs, and patterns of use. NEJM, 1993 ; 328 : 246-52. https://doi.org/10.1056/NEJM199301283280406